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HomeMy WebLinkAboutLRG2025-00005 - LRG Letters / Memos - 9/19/2025 MEMO To: EH Large Lot Subdivision Reviewers From: Luke Viscusi (Planning Dept) Date: September 19, 2025 Re: LRG2025-00005 (PAR2025-00001) Parcel#: 42210-40-00000 Here is a survey and an EH Land Use Eval for a 5-lot Large Lot Subdivision for Curtis & Kelli Sumrok off N Foothills Park Rd near Hoodsport. Please let me know if you have any questions about this and when you are satisfied that it meets health code, please sign off in SmartGov. If there are deficiencies, please let me know if you need further contact information for the property owner or surveyor. I can be reached at ext. 282 or lviscusi@a,masoncountywa.gov. Thanks. 415 N 6'"STREET, SHELTON WA 98584 MASON COUNTY SHELTON 360.427.9670, EXT 400 4111"7 COMMUNITY SERVICES BELFAIR. 360-275-4467. EXT.400 ^ .:. ELMA. 360-482-5269, EXT 400 Nr41n4{1U1filrw),I rn+rmrt.wM.d Hosith MOON k rm FAX 360-427-7798 APPLICATION FOR LAND USE EVALUATION Amount Paid $ 6 Receipt Number 2,0 2� "0 133-b Instructions t. An application is considered complete when the fee is paid and the following elements have been addressed: Parts I and 2 of the app'lcat,on form must be completed. > One property excavated test-hole per proposed parcel must be ready for inspection Properly excavated pits are 5-feet deep with a 4-foot deep shelf on one end of pit.The 4-foot deep shelf must slope up to the ground surface for easy ingress and egress.(Set the Mal:C ltourty Public Health On-Site Standards) Y A scaled pint plan must be attached to the application The scaled plot plan must show the precise location of the test holes, dimensions of the property and locations of any existing or proposed wells,roads,or buildings within 100•feet of the property bounddtte4. 2. After a completed appl cat yr+5 receved,staff will inspect the property and provide the applicant with a written reper lmporlaft:in order to avoid additional costs,be sure the test holes and parcels are all flagged and clearly delineated as to lot and test hole*whet,The identified test holes must match the locations shown on the proposed plot mop. — -MAW PART ---- .-- PART 1 : APPLICANT/PARCEL IDENTIFICATION V Large Lot Subdivision ❑ Subdivision p Short Subdivision O BLA ` ��,i-n r o S 0 �?�� C 7/ Name of Applicant L i,�/ �S 4 / e/( Phone Mailing Address of Applicant I f?'O3 4( c 04/ J City L./6< .r�J/� State W AL Zip - S C/ 12-digit Tax Parcel No. ga2(1) . LA) ©0)D (3 9 �i4` o r.� d z S iv U�i I U �� 7� E .S�l�c(1 Property Legal Description A Il `f11 `� -L T _l � �1 T i'.• S� y wFsi A f•o CikIf / ilk),< y �'� .y= 4c• rifl,T F trh-1 li e of592/ , tj,ceP(1. r fA wFY roc .)tie pew �, l Lot Sizes (Acres or square Feet 1 ,_ + LOT 1 LOT 2 LOT 3 LOT 4 LOT 5 Directions to Site: 0,‘ /4.9. o s.5/2 tt) f /71 4S ratof4,-llf fc,, L PART 2: INTENDED USE OF PARCEL Intended Use of Property(Check One). in Single Family Residence ti Multi-Family Residence O Other,Specify Water Source for Parcels(Check One). =Individual Wells Community ;';ell i;PublicWater System) 't.: n^n -nay t e cranneo end available for pualic view on the Macon County Web site. *Minimum lot size applies to new subdivisions and is defined as the minimum allowable land area per residence or residential equivalent (450 gallons per day). / COMMENTS `C�e/�-}' S 4,C r' G�C�ibfk pe/reoif'/4- ait�A r- jod (,,).ell 61S 01( PART 4: REVIEW SUMMARY yMEETS HEALTH CODE DOES NOT MEET HEALTH CODE After examining lot size, proposed water source and soil type, it is the determination of Mason County Public Health that each proposed parcel cannot support an on-site sewage disposal system meeting the requirements of state and local regulations. This determination is based on consideration of the following factor (s): HOLD APPROVAL UNTIL FURTHER ACTIONS ARE TAKEN BY APPLICANT 4 After examining lot size, proposed water source and soil type, it is the determination of Mason County Public Health that each proposed parcel cannot support an on-site sewage disposal system meeting the requirements of state and local regulations until the following conditions are met: Condition (s) required prior to approval have been met by the applicant Health Official Date PART 5: REVIWER SIGNATURE / Health Official Date This form may be scanned and available for public view on the Mason County Web site. Revised 3/2/2017 PART 3: HEALTH DEPARTMENT REVIEW (official use only) Soil Logs and Site Characteristics Lot #_ L Lot# �. Lot # Lot# 7 tort 5 Test Pit A Test Pit A Test Pit A Test Pit.A ,14,y i! lc, tO-J v5/ I( ►y' o/0.e t( l( 2 Y ✓io r l79-e- y aN� /©t , - y ,Y% y Depth of Mottling Depth of Mottling Depth of Mottling Depth of Mottling Depth to Rest. Layer Depth to Rest. Layer Depthto Rest. Layer Death to Rest. Layer �f'' zY 1( 2 ( t( So�Type (USDA) Soil Type (USDA) Soil Type (USDA) Soil Type (USDA) Test Pit B Test Pit B TesYPit B Test Pit B Depth of Mottling Depth of Mottling Depth of Mottling Depth of Mottling Depth to Rest. Layer Depth to Rest. Layer Depth to Rest. Layer Depth to Rest. Layer Soil Type (USDA) Soil Type (USDA) Soil Type (USDA) Soil Type (USDA) Curtain Drain Curtain Drain Curtain Drain Curtain Drain Needed? Needed? Needed? Needed? Slope % Slope % Slope % Slope % Shoreline? (YIN) Shoreline? (Y/N) Shoreline? (Y/N) Shoreline? (Y/N) Minimum Lot Size* Minimum Lot Size* Minimum Lot Size* Minimum Lot Size* This form may be scanned and available for public view on the Mason County Web site. Revised 3/2/2017